Ascension Via Christi Hospital St. Teresa, Inc.
14800 St Teresa St, Wichita, KS · Ascension · · NPI 1023334950
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Chemo ia infusion up to 1 hr CPT 96422 | not published | not published | $306.75 – $858.90 | 16 |
| Chemo ia push tecnique CPT 96420 | not published | not published | $306.75 – $858.90 | 16 |
| Chemo intralesional over 7 CPT 96406 | not published | not published | $194.85 – $545.58 | 16 |
| Chemo intralesional up to 7 96405 CPT 96405 | not published | not published | $65.82 – $184.30 | 16 |
| Chemotaxis assay CPT 86155 | not published | not published | $14.50 – $57.95 | 18 |
| Chemotherapy injection 96542 CPT 96542 | not published | not published | $306.75 – $858.90 | 16 |
| Chemotx admn pertl cav impl CPT 96446 | not published | not published | $306.75 – $858.90 | 16 |
| Chest 2 vws w oblique CPT 71048 | not published | not published | $92.27 – $275.38 | 17 |
| Chest apical lordotic proj CPT 71047 | not published | not published | $81.43 – $228.00 | 17 |
| Chest CT scan (with and without contrast) CPT 71270 | not published | not published | $164.64 – $631.18 | 17 |
| Chest CT scan (with contrast) CPT 71260 | not published | not published | $164.64 – $944.50 | 18 |
| Chest CT scan (without contrast) CPT 71250 | not published | not published | $98.35 – $658.05 | 18 |
| Chest X-ray CPT 71046 | not published | not published | $70.25 – $228.00 | 17 |
| Chest X-ray (single view) CPT 71045 | not published | not published | $52.84 – $228.00 | 17 |
| Chg pr pul rehab for copd patients CPT 94626 | not published | not published | $54.93 – $153.80 | 16 |
| Chg radiologic exam esophagus double contrast CPT 74221 | not published | not published | $164.64 – $460.99 | 17 |
| Chimerism anal no cell selec CPT 81267 | not published | not published | $207.46 – $651.42 | 17 |
| Chimerism anal w/cell select CPT 81268 | not published | not published | $234.23 – $818.88 | 17 |
| Chlamydia culture CPT 87110 | not published | not published | $17.77 – $79.22 | 18 |
| Chlamydia trachomatis ag if CPT 87270 | not published | not published | $10.88 – $48.53 | 18 |
| Chlamydia type CPT 87140 | not published | not published | $5.06 – $22.55 | 18 |
| Chlnggrphy intraop addl s&i CPT 74301 | not published | not published | $36.22 – $36.22 | 1 |
| Chloride CPT 82435 | not published | not published | $1.08 – $18.56 | 18 |
| Chloride 24 hour urine CPT 82436 | not published | not published | $4.56 – $20.33 | 18 |
| Chmotx admn plrl cav thrcnts CPT 96440 | not published | not published | $306.75 – $858.90 | 16 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | not published | not published | $61.46 – $61.46 | 1 |
| Cholecystectomy expl duct 47612 CPT 47612 | not published | not published | not published | 0 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | not published | not published | not published | 0 |
| Cholecystoenterostomy direct 47720 CPT 47720 | not published | not published | not published | 0 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | not published | not published | not published | 0 |
| Cholesterol CPT 82465 | not published | not published | $1.08 – $17.62 | 18 |
| Cholesterol body fluid CPT 84999 | not published | not published | $16.72 – $16.72 | 1 |
| Cholesterol (Lipid) Test CPT 80061 | not published | not published | $12.16 – $54.21 | 18 |
| Cholinesterase CPT 82480 | not published | not published | $7.15 – $31.88 | 18 |
| Cholinesterase challenge CPT 95857 | not published | not published | $287.99 – $806.37 | 16 |
| Chorion biopsy CPT 59015 | not published | not published | $805.28 – $2,254.78 | 16 |
| Chrom analysis CPT 88273 | not published | not published | $29.15 – $129.94 | 18 |
| Chromatogram assay sugars CPT 84375 | not published | not published | $17.79 – $122.46 | 18 |
| Chromatography CPT 83021 | not published | not published | $16.38 – $56.71 | 18 |
| Chromogenic substrate assay CPT 85130 | not published | not published | $10.79 – $48.11 | 18 |
| Chromo high res and frag x - sendout CPT 81243 | not published | not published | $57.04 – $179.11 | 17 |
| Chromosome analys amniotic CPT 88269 | not published | not published | $150.90 – $545.29 | 18 |
| Chromosome analysis 100 CPT 88249 | not published | not published | $157.11 – $700.37 | 18 |
| Chromosome analysis 15-20 cell count CPT 88262 | not published | not published | $113.08 – $504.08 | 18 |
| Chromosome analysis 20-25 CPT 88245 | not published | not published | $103.73 – $602.06 | 18 |
| Chromosome analysis 45 CPT 88263 | not published | not published | $136.34 – $607.79 | 18 |
| Chromosome analysis 5 CPT 88261 | not published | not published | $160.33 – $830.03 | 18 |
| Chromosome analysis 50-100 CPT 88248 | not published | not published | $157.11 – $700.37 | 18 |
| Chromosome analys placenta CPT 88267 | not published | not published | $163.09 – $727.04 | 18 |
| Chromosome banding study CPT 88283 | not published | not published | $30.77 – $215.40 | 18 |
| Chromosome count additional CPT 88285 | not published | not published | $17.23 – $84.50 | 18 |
| Chromosome karyotype study CPT 88280 | not published | not published | $22.77 – $105.10 | 18 |
| Chromosome study additional CPT 88289 | not published | not published | $8.61 – $139.28 | 18 |
| Chronic urticaria - sendout CPT 86343 | not published | not published | $11.31 – $39.12 | 18 |
| Chylomicron screen, bf - sendout CPT 82664 | not published | not published | $31.17 – $193.11 | 18 |
| Cine/video x-rays CPT 76120 | not published | not published | $98.35 – $291.68 | 18 |
| Cine/video x-rays add-on CPT 76125 | not published | not published | $46.07 – $46.07 | 1 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | not published | not published | $617.29 – $1,728.41 | 16 |
| C-kit mutation liquid tumor - sendout CPT 81272 | not published | not published | $217.48 – $1,034.66 | 17 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $470.96 – $1,318.69 | 16 |
| Clearance of airways CPT 31720 | not published | not published | $188.10 – $526.68 | 16 |
| Clearance of tear duct CPT 68530 | not published | not published | $276.46 – $774.09 | 16 |
| C-lens fitg corneosclrl lens CPT 92313 | not published | not published | $119.21 – $333.79 | 16 |
| C-lens fitg tech aphakia 1 CPT 92315 | not published | not published | $119.21 – $333.79 | 16 |
| C-lens fitg tech aphakia ou CPT 92316 | not published | not published | $119.21 – $333.79 | 16 |
| C-lens fitg tech corneosclrl CPT 92317 | not published | not published | $36.30 – $101.64 | 16 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | not published | 0 |
| Close bronchial fistula 32815 CPT 32815 | not published | not published | not published | 0 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | not published | not published | $221.85 – $621.18 | 16 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | not published | not published | not published | 0 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | not published | not published | $221.85 – $621.18 | 16 |
| Closed tx humerus fx without manip 23600 CPT 23600 | not published | not published | $221.85 – $621.18 | 16 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | not published | not published | $221.85 – $621.18 | 16 |
| Closed tx orbit without manipulj CPT 21400 | not published | not published | $470.96 – $1,318.69 | 16 |
| Closed tx sesamoid fx 28530 CPT 28530 | not published | not published | $221.85 – $621.18 | 16 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | not published | not published | $221.85 – $621.18 | 16 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | not published | not published | $214.76 – $601.33 | 16 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | not published | 0 |
| Close tear duct opening CPT 68760 | not published | not published | $276.46 – $774.09 | 16 |
| Close tear duct opening CPT 68761 | not published | not published | $276.46 – $774.09 | 16 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $10.88 – $50.24 | 18 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | not published | not published | not published | 0 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | not published | not published | not published | 0 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | not published | not published | not published | 0 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | not published | not published | not published | 0 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | not published | not published | $470.96 – $1,318.69 | 16 |
| Closure of eyelid by suture CPT 67875 | not published | not published | $895.73 – $2,508.04 | 16 |
| Closure paravalvlr leak pq CPT 33999 | not published | not published | $571.78 – $1,600.98 | 16 |
| Clot factor fletcher fact CPT 85292 | not published | not published | $17.18 – $76.59 | 18 |
| Clot factor viii reltd antgn CPT 85244 | not published | not published | $18.52 – $82.57 | 18 |
| Clot factor wght kininogen CPT 85293 | not published | not published | $17.18 – $76.59 | 18 |
| Clot factor xii hageman CPT 85280 | not published | not published | $17.56 – $78.25 | 18 |
| Clot factor xiii fibrin scrn CPT 85291 | not published | not published | $8.07 – $35.95 | 18 |
| Clot factor xiii fibrin stab CPT 85290 | not published | not published | $14.83 – $66.09 | 18 |
| Clotting assay whole blood CPT 85396 | not published | not published | $18.05 – $61.98 | 3 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | not published | not published | $221.85 – $621.18 | 16 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | not published | not published | $221.85 – $621.18 | 16 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | not published | not published | $221.85 – $621.18 | 16 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | not published | not published | $221.85 – $621.18 | 16 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | not published | not published | $221.85 – $621.18 | 16 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.